Provider Demographics
NPI:1437199049
Name:WOFFORD, SCOTT A (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:WOFFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 SPRINGHILL DR
Mailing Address - Street 2:STE 400
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2924
Mailing Address - Country:US
Mailing Address - Phone:501-945-3343
Mailing Address - Fax:501-945-0770
Practice Address - Street 1:3401 SPRINGHILL DR
Practice Address - Street 2:STE 400
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2924
Practice Address - Country:US
Practice Address - Phone:501-945-3343
Practice Address - Fax:501-945-0770
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1053174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR19249000000OtherQUALCHOICE
AR5L799OtherBLUE ADVANTAGE
AR5L799OtherFIRST SOURCE
AR5L799OtherAR BLUE CROSS BLUE SHIELD
AR7084241OtherAETNA HEALTHCARE
AR710644504OtherUNITED HEALTHCARE
AR100015168OtherUHC RAILROAD MEDICARE
AR142902001Medicaid
AR7106445040014OtherCIGNA HEALTHCARE
AR5L799OtherHEALTH ADVANTAGE
AR5L799OtherAR BLUE CROSS BLUE SHIELD
AR5L799OtherHEALTH ADVANTAGE